Organization Active NPI

Kenneth M. Dixey

  • Dentist
  • Parker, CO
National Provider Identifier
1689852089
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104866 Issued in CO
Legal business name
KENNETH M. DIXEY
Practice address
10521 S Parker Rd
Suite E
Parker, CO 80134-9082
Phone
(303) 841-5313
Fax
(303) 841-5557
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patti Goolsby
Title
Office Manager
Phone
(303) 841-5313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 104866 CO Primary

Addresses

Primary practice location

10521 S Parker Rd
Suite E
Parker, CO 80134-9082

Mailing address

10521 S Parker Rd
Suite E
Parker, CO 80134-9082
Phone (303) 841-5313

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1689852089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 S PARKER RD",
            "address_2": "SUITE E",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349082",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 S PARKER RD",
            "address_2": "SUITE E",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349082",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. DIXEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-841-5313"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "104866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.